平方步和强化炼对慢性阻塞性肺病中认知和平衡功能的比较影响:一项随机临床试验
Alp Özel1, Eylem Tütün Yümin1, Suat Konuk2
1Department of Physiotherapy and Rehabilitation/Faculty of Health Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey.
PeerJ
|August 4, 2025
概括
平方步练习 (SSE) 和强化练习 (SE) 都改善了慢性阻塞性肺病 (COPD) 患者的认知功能. 然而,SSE在平衡控制方面表现出了卓越的改进,使其成为有益的远程康复干预.
科学领域:
- 肺部医学 肺部医学
- 神经学 神经学
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
背景情况:
- 认知障碍和平衡功能障碍在慢性阻塞性肺病 (COPD) 中很普遍.
- 针对COPD患者这些缺陷的有针对性的干预措施是有限的.
- 平方步练习 (SSE) 是一种结合认知和运动挑战的多任务干预.
研究的目的:
- 为了比较SSE与传统强化炼 (SE) 对COPD患者认知功能和平衡的影响.
- 在远程康复模型中评估SSE的有效性.
- 评估运动干预措施对COPD相关认知和平衡障碍的影响.
主要方法:
- 一项随机临床试验,涉及34名患有轻度至中度COPD的男性患者.
- 参与者被分配到SSE或SE组,进行监督的远程康复八周.
- 评估了认知功能 (MoCA),平衡 (Biodex),呼吸障碍 (mMRC) 和疾病影响 (CAT).
主要成果:
- 两组都显示了认知功能 (MoCA分数) 在小组内显著改善.
- 与SE集团相比,SSE集团在整体和前后平衡稳定性方面表现出明显的改善.
- 欧洲集团集团的改善程度有限,主要是静态资产负债.
结论:
- 虽然这两种运动类型都提高了COPD的认知能力,但SSE产生了卓越的平衡改善.
- SSE 的多任务性质可能解释了它对姿势稳定性的增强作用.
- 对于COPD患者来说,SSE是一种有价值和可访问的远程康复干预.
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